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Individual

KENNETH EUGENE LASSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
501 SW JACKSON ST STE 100, TOPEKA, KS 66603-9701
(785) 233-4572
Mailing address
1357 N 1000 RD, LAWRENCE, KS 66046-9608
(785) 843-0253

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17-0653
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
06/09/2020
Last updated
06/09/2020
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